有吸入风险的患者的围手术期管理

IF 0.2 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2024-08-01 DOI:10.1016/j.mpaic.2024.06.020

Jeffrey Y.C. Ip, Kai-Ming Lo

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引用次数: 0

摘要

肺吸入是气道管理的一个重要并发症，可导致严重的发病率和死亡率。吸入异物可导致气道阻塞、化学损伤或继发感染。正确评估吸入风险可识别有风险的患者，从而采取适当的预防措施。护理点超声检查有助于进行风险分层。对于高风险患者，应考虑预先用药和快速顺序诱导。术后也应谨慎行事。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Perioperative management of patients with aspiration risk

Pulmonary aspiration is an important complication of airway management that can result in serious morbidity and mortality. Inhalation of foreign substances can cause airway obstruction, chemical injury or secondary infections. Proper assessment of aspiration risk identifies patients at risk, allowing proper precautions to be performed. Point-of-care ultrasound can help with risk stratification. Premedication and rapid sequence induction should be considered in high-risk patients. Caution should be extended to the postoperative period.

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来源期刊

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.